Impacts of two government funding approaches on public health service functions of village health clinics / 中华医院管理杂志

ABSTRACT

Objective To study the incentives created by both government service purchase mode and direct funding mode on village clinics.Methods Sampling on village clinics in 24 counties in Guizhou province,to learn their public health services and villagers' satisfaction under both modes.Results Except for the infectious disease report,health lectures and health records,values of most public health service indexes of the government purchase services group are better than those of the direct investment one (P＜0.05).Villagers' satisfaction scores for facilities and service attitude showed no significant difference between the two modes,but the purchase services mode was better than direct funding one in other dimensions and comprehensive scores (P＜ 0.05).Conclusion Government purchase of health services has a great potential to improve the service efficiency of village clinics.It is,however,imperative to further break the monopoly,identify reasonable purchasing projects and approaches,and construct scientific supervision mechanisms to achieve incentive-compatible effects.